Treatment Information Service HIV 0440 HIV/AIDS. HIV and Its Treatment What You Should Know. 2nd edition

Save this PDF as:
 WORD  PNG  TXT  JPG

Size: px
Start display at page:

Download "Treatment Information Service 1 800 HIV 0440 HIV/AIDS. HIV and Its Treatment What You Should Know. 2nd edition"

Transcription

1 HIV/AIDS Treatment Information Service HIV 0440 HIV and Its Treatment What You Should Know 2nd edition

2 HIV/AIDS TREATMENT INFORMATION SERVICE 2nd Edition HIV and Its Treatment: What You Should Know September 2002 The information in this document is based on Guidelines for the Use of Antiretroviral Agents in HIV-Infected Adults and Adolescents, developed by the Panel on Clinical Practices for the Treatment of HIV Infection, which is convened by the U.S. Department of Health and Human Services (DHHS) in conjunction with the Henry J. Kaiser Family Foundation. The Guidelines, which is a living document, provides updates in new advances in the treatment of HIV. The current version of the document is available on our web site:

3 HIV and Its Treatment What You Should Know HIV and Its Treatment: What You Should Know is a publication of the HIV/AIDS Treatment Information Service (ATIS). ATIS provides timely, accurate information on the latest federally approved treatment guidelines for HIV and AIDS through a toll-free telephone service and a web site. HIV and Its Treatment: What You Should Know HIV/AIDS Treatment Information Service P.O. Box 6303, Rockville, MD (Toll Free) (International) (TTY) ( ) (web site) Table of Contents HIV and Its Treatment: What you should know When to Start Treatment Starting Drug Therapy HIV and Pregnancy Understanding Prevention Adherence Summary

4 HIV and Its Treatment: What You Should Know HIV and Its Treatment What You Should Know I am HIV positive. What does that mean? Does it mean I have AIDS? Receiving a positive HIV test result means that you have been infected with HIV (Human Immunodeficiency Virus), the virus that causes AIDS (Acquired Immune Deficiency Syndrome). HIV disease progresses to AIDS when your CD4 + T cell count drops below 200 cells/mm 3, and/or you develop an AIDS-defining condition (an illness that is very unusual in someone who is not HIV positive). What is a CD4 + T cell count? This is a test to count the number of CD4 + T cells in a sample of blood. CD4 + T cells are a type of white blood cell that fights infections. When HIV enters a person s CD4 + T cell, it uses the cell to make copies of itself. This process destroys the CD4 + T cells, weakening the immune system and making it harder for your body to fight infections. What is viral load? This is a test to measure the amount of HIV in a sample of blood. People with a high viral load usually develop AIDS faster than people with a low viral load. What is HIV treatment? (also called drug therapy) HIV treatment is the use of drugs to keep an HIV positive person healthy. For most people who start HIV drug (antiretroviral) therapy, their viral load drops to an undetectable level (below 50 copies/ml) within weeks. However, HIV drug treatment is complicated and different people have different results. HIV treatment can help people at all stages of HIV disease stay healthy. 3

5 HIV and Its Treatment What You Should Know When to Start Treatment What kind of a doctor do I need? Your doctor should be an expert in treating HIV and AIDS. Your doctor also should be someone you feel comfortable with, since you will need to work closely with him or her to make informed decisions about your treatment. What questions should I ask my doctor? Ask your doctor about the risks and benefits of HIV treatment. Write down your questions and take them with you to your appointment. This will help you remember everything you want to ask. What can I expect? What tests will be needed? Before starting HIV treatment, your doctor will ask you questions about your health, do a physical examination, and do blood tests. Blood tests will include a complete blood count, blood chemistry profile, a test for hepatitis B and C, a viral load test, and a CD4 + T cell count (see next page). Your doctor should also perform other tests for infections (such as syphilis screening, tuberculin skin test, and toxoplasma antibody test). Women should have a gynecologic examination with Pap smear and a pregnancy test (see page 13 for more on pregnancy and HIV). Your doctor also may do other tests. Both the viral load test and the CD4 + T cell count will be done before you start HIV treatment. 4

6 Viral Load Test HIV and Its Treatment What You Should Know The viral load test measures the amount of HIV in a sample of blood. Getting a viral load test before starting HIV treatment is important for two reasons. It shows how well the body s immune system is controlling the virus. It provides a baseline measurement for viral load. What tests will be needed? After you start treatment, your viral load will be compared to the baseline. This will help your doctor see how well the drugs are working. At first, viral load testing should be done at two different times, by the same laboratory, using the same type of test, to ensure accurate results. Currently, the RT-PCR assay (Roche) and the NucliSens HIV-1 QT (biomerieux) are the only viral load tests approved by the Food and Drug Administration (FDA). The bdna (Chiron) viral load test is also commonly used, but is not FDA-approved. CD4 + T Cell Count The CD4 + T cell count is the number of CD4 + T cells in a sample of blood. There are two important reasons to have a CD4 + T cell count before starting treatment. It shows how well your immune system is working. It provides a baseline measurement of your CD4 + T cell count. After you start treatment, your CD4 + T cell counts will be compared to the baseline. This will help your doctor see how well the drugs are working. 5

7 HIV and Its Treatment What You Should Know How will my doctor and I decide whether to start HIV drug treatment? General guidance for starting HIV drug treatment is on page 7. You should talk to your doctor about whether starting treatment is right for you and about other options you may have. Some important factors in deciding whether to start treatment include the following: Do you have advanced HIV disease or HIV symptoms? What are the results of your viral load test and CD4 + T cell count? Are you willing to begin drug therapy? Are you willing and able to take all your medications as prescribed by your doctor? Because drug resistance often occurs when doses are skipped, adherence is very important in HIV drug treatment. (For more information on adherence, turn to page 16.) I am HIV-infected but do not have any symptoms. Should I start treatment? You and your doctor should consider several factors in deciding when to start drug therapy. As discussed above, your viral load and CD4 + T cell count will help determine whether you should consider treatment. You should keep in mind that once you begin drug treatment, you may need to continue for the rest of your life. You will also need to consider how well you will be able to follow your treatment plan, and weigh the known benefits and potential risks of drug therapy. 6

8 HIV and Its Treatment What You Should Know Making Decisions about HIV Drug Treatment: When to Start Therapy Have you been diagnosed with AIDS or advanced HIV disease (severe symptoms)? NO YES Recommend starting therapy. Do you have a CD4 + T cell count <200 cells/mm 3 with no symptoms? YES Recommend starting therapy. NO Do you have a CD4 + T cell count >200 cells/mm 3 but <350 cells/ mm 3 with no symptoms? NO Do you have a CD4 + T cell count >350 cells/mm 3 with no symptoms and a viral load <55,000 copies/ml?** YES YES Consideration should be given to starting therapy.* Many experts would observe the patient and wait to start therapy. NO Do you have a CD4 + T cell count >350 cells/mm 3 with no symptoms and a viral load >55,000 copies/ml? YES Aggressive Approach: Recommend starting therapy. Conservative Approach: Defer therapy and monitor CD4 + T cell counts more frequently. * The decision to begin therapy in patients with no symptoms and >200 CD4 + T cells/mm 3 is complex and must be made carefully with your doctor. ** See page 5 for more information on viral load tests. 7

9 What are the benefits and risks of starting early drug therapy? HIV and Its Treatment What You Should Know Benefits of starting early therapy: Easier to achieve and maintain control of viral load. Less risk of drug resistance if viral load is undetectable. Delay or prevent a weakened immune system. Risks of starting early therapy: Potential for serious side effects (For more information on negative side effects, see page 10.) Earlier development of drug resistance if viral load is not undetectable. Possible limitation of future therapy options. Negative effects on quality of life resulting from drug regimens. What are the benefits and risks of delayed drug therapy? If my doctor and I decide to delay treating my HIV infection, will I need to have my viral load and CD4 + T cell count tested again? Benefits of delaying therapy: Avoid negative effects on quality of life resulting from drug regimens. Avoid side effects (drug toxicities). Less risk of drug resistance. Preserve future drug options. Risks of delaying therapy: Possible permanent immune system damage from HIV virus. Possible difficulty with controlling viral load. Yes. HIV-infected persons who have not started drug therapy should have a viral load test every 3 4 months and a CD4 + T cell count every 3 6 months. Talk to your doctor about how often you should be tested. 8

10 Starting Drug Therapy HIV and Its Treatment What You Should Know When I start therapy, what kinds of medications will I have to take? HIV drugs are used to slow the reproduction of the virus, thus slowing the progression of HIV disease to AIDS. There are three classes of FDA-approved antiretroviral drugs: NRTIs, PIs, and NNRTIs. (For the full names of these drugs, see the chart below.) The recommended treatment for HIV is a combination drug treatment called Highly Active Anti-Retroviral Therapy, or HAART. HAART combines three or more HIV drugs. NRTIs (Nucleoside/Nucleotide Reverse Transcriptase Inhibitors) Zidovudine (AZT, ZDV) (Retrovir ) Didanosine (ddi) (Videx ) Lamivudine (3TC) (Epivir ) Stavudine (d4t) (Zerit ) Tenofovir (Viread ) Zalcitabine (ddc) (HIVID ) Abacavir (Ziagen ) Zidovudine + Lamivudine Zidovudine + Lamivudine + Abacavir (Combivir ) (Trizivir ) PIs (Protease Inhibitors) Saquinavir (Invirase & Fortovase ) Indinavir (Crixivan ) Amprenavir (Agenerase ) Ritonavir (Norvir ) Nelfinavir (Viracept ) Ritonavir/Lopinavir (Kaletra ) NNRTIs (Non-Nucleoside Reverse Transcriptase Inhibitors) Nevirapine (Viramune ) Delavirdine (Rescriptor ) Efavirenz (Sustiva ) 9

11 HIV and Its Treatment What You Should Know The recommended HAART regimens are efavirenz plus two NRTIs, indinavir plus two NRTIs, nelfinavir plus two NRTIs, ritonavir and indinavir plus two NRTIs, ritonavir and lopinavir plus two NRTIs, or ritonavir and saquinavir plus two NRTIs. In general, taking only two drugs is not recommended, because the resulting decrease in viral load is temporary for most people. For most people, taking only one antiretroviral drug is also not recommended (the exception is pregnant women, who may be offered zidovudine alone or with other drugs to reduce the risk of passing HIV to their infants). If you are pregnant or considering becoming pregnant, there are additional drug considerations. (See page 13 for more information.) What are some of the negative side effects of HAART? You may experience negative side effects (drug toxicities) when you take HIV drugs. Some of these side effects are serious, even life threatening, so you may have to change drugs. Possible side effects of HAART: liver problems, diabetes, fat maldistribution (lipodystrophy syndrome), high cholesterol, increased bleeding in patients with hemophilia, decreased bone density, and skin rash. Side effects that may seem minor, such as fever, nausea, and fatigue, can mean there are serious problems. You should always discuss any side effects you are having with your doctor. 10

12 How will I know if my treatment is working? HIV and Its Treatment What You Should Know In general, your viral load is the most important indicator that your treatment is working. Other important factors are: your CD4 + T cell count, your recent health history, and results of physical examinations. Your viral load should be tested 2 8 weeks after you start treatment. If your drugs are working, your viral load should decrease. It should continue to decrease as you continue to take your medication. Throughout HIV treatment, your viral load should be tested every 3 4 months to make sure your drugs are still working. If your viral load is still detectable within 4 6 months after starting treatment, you should talk to your doctor about possibly changing your HIV drugs. How fast, or how much, your viral load decreases may depend on other factors as well. These factors can include your baseline viral load and CD4 + T cell count (before starting therapy), whether you have used HIV drugs before, whether you have any AIDS-related illnesses, and how closely you have followed (adhered to) your therapy. Talk to your doctor if you are concerned about the results of your viral load tests. CD4 + T cell counts may also help show how well your medications are working. After starting HIV treatment, your CD4 + T cell count should be tested every 3 6 months. Talk to your doctor if you are concerned about your CD4 + T cell counts. 11

13 HIV and Its Treatment What You Should Know My doctor wants to change my drug therapy. Why would this be recommended? There are several reasons for this. Two of the more important reasons are drug intolerance and drug failure. Drug intolerance means that there are side effects that make it difficult to take the drugs as directed. Drug failure means that the drugs are not working well enough to decrease your viral load. You should ask your doctor to explain why any changes are needed in your treatment. If the reason is drug intolerance, your doctor may change the drug(s). He or she may replace one or more of your current drugs with different ones of the same strength and class. If the reason is drug failure, your doctor should change all your drugs to new ones you have never taken. If you have been taking three drugs, and all three drugs cannot be changed, then at least two drugs should be changed. Using new drugs will reduce the risk of developing drug resistance. Before changing HIV drugs, you should talk to your doctor about all HIV drugs you have taken before, the strength of the new drugs your doctor recommends, possible side effects of the new drugs, how well you will be able to follow (adhere to) the new treatment, and the number of HIV drugs remaining that you have not yet used. You may be eligible to participate in a clinical trial using new drugs or treatment strategies. For more information about participating in a clinical trial, ask your doctor, or visit the National Library of Medicine s ClinicalTrials.gov web site at:

14 HIV and Pregnancy HIV and Its Treatment What You Should Know I am HIV positive and pregnant. What should I do about drug treatment? If you are pregnant or want to become pregnant, you must consider the general risks and benefits of drug treatment to both you and your child. Some of the drugs (such as efavirenz and hydroxyurea) should be avoided, because they may cause birth defects if taken early in pregnancy. The effects of other drugs are not yet known. It is important for you to talk with your doctor before and during your pregnancy so that you can decide together on the best treatment for you and your baby. If you are already taking HIV drugs, talk to your doctor about the potential risks and known benefits to your baby if you continue drug treatment during your pregnancy. Will my baby be born HIVinfected? No one can tell you for sure if your baby will be born HIV-infected. But there are steps you can take to reduce the risk of transmitting HIV to your baby. Talk to your doctor. He or she should offer you zidovudine (AZT) therapy by itself or with other HIV drugs. AZT has been shown to reduce the risk of passing HIV to your baby by almost 70%. The additional HIV drugs will treat your infection and may provide extra protection for your baby. However, the possible side effects for you and your baby of using multiple drugs during pregnancy are not well understood. Other actions to help protect your baby include getting regular prenatal care and adhering to your HIV drug treatment plan. 13

15 Understanding Prevention HIV and Its Treatment What You Should Know Why does my doctor want to discuss HIV prevention with me? It is important that you understand how HIV is transmitted so that you can prevent transmitting HIV to others. Every time you visit your doctor, discuss any high-risk behaviors such as unprotected sex and needle sharing. Then you and your doctor can find ways to prevent transmission. Successful HIV treatment can lower the viral load which may reduce the chance of HIV transmission. But there are other factors that influence sexual transmission of HIV, such as the following: presence of other sexually transmitted infections, genital irritation, menstruation, lack of circumcision in men, taking birth control pills, hormone imbalances, and vitamin and mineral deficiencies. Successful treatment does not prevent transmission. You should always use prevention strategies, such as condoms, safer sex practices and clean needles. 14

16 HIV and Its Treatment What You Should Know I am HIVinfected, but my viral load is undetectable. What does that mean? Am I cured of HIV? No, this does not mean that you are cured of HIV or AIDS. It means that the amount of HIV virus in your blood is so low that the viral load tests cannot detect it. You are still infected with HIV and should continue to practice riskfree behaviors, such as not sharing drug needles with anyone and using safer sexual practices. You will also need to see your doctor on a regular basis. 15

17 Adherence HIV and Its Treatment What You Should Know What is adherence? Adherence refers to how closely you follow or adhere to a prescribed drug treatment plan. It includes your willingness to begin treatment and your ability to take medications (antiretroviral drugs) as directed. Studies have shown that adherence may be difficult for many patients, including people who are HIV-infected as well as those who take daily medications for other diseases. Is adherence important for HIV treatment? Yes. Adherence is a major issue in HIV treatment for two reasons. First, adherence affects how well the HIV drugs decrease viral load. When you skip medication doses even once, the virus has the opportunity to make copies of itself more rapidly. This makes it difficult for the drugs to be effective. Other factors that may affect treatment effectiveness include your baseline viral load and CD4 + T cell count, whether you have any AIDS-related illnesses, and whether you have used HIV drugs before. Second, adherence to HIV treatment is very important to prevent drug resistance. Studies have shown that when you skip doses, you may develop strains of HIV that are drug-resistant. This may leave you with fewer treatment options if your viral load does not decrease. Because drug-resistant strains can be transmitted to others, it has serious consequences for anyone with whom you engage in risky behavior. 16

18 What makes adherence difficult for many HIV-infected patients? HIV and Its Treatment What You Should Know There are several reasons why many patients have difficulty adhering to an HIV treatment plan. One reason is that HIV treatment plans are very complicated. Studies have shown that many people may have difficulty adhering to even simple treatment plans. Yet HIV treatment may involve taking 25 or more pills each day. In addition, some HIV drugs must be taken on an empty stomach, while others must be taken with meals. This can be difficult for many people, especially those who are sick or experiencing HIV symptoms. Also, HIV-infected patients may need to continue their treatment regimens for a long time, perhaps for their entire lives. HIV-infected patients have reported other reasons for poor adherence, including unpleasant side effects (like nausea), sleeping through doses, travelling away from home, being too busy, feeling sick or depressed, or simply forgetting to take their medications. I m considering starting HIV treatment. How can I be sure I ll be able to adhere to a treatment plan? If you are considering HIV treatment, there are several steps you can take before starting treatment to help adherence: 1. Play an active role in your treatment plan. Ask your doctor to describe all your treatment options, including known benefits and potential risks of starting treatment. Also ask your doctor to explain any side effects or other problems that may result from the drugs. It is important for you to understand the goals of treatment and to be fully committed to the treatment plan. 17

19 I m considering starting HIV treatment. How can I be sure I ll be able to adhere to a treatment plan? HIV and Its Treatment What You Should Know 2. Talk to your doctor about personal issues that may affect your adherence. Studies have shown that adherence may be harder for people dealing with substance abuse or alcoholism, unstable housing, mental illness, or major life crises. Adherence also may be harder for other patients who: do not have advanced HIV disease, must follow very complex treatment regimens, and have had problems taking medications in the past. Talk to your doctor about these or any other issues that you feel may affect your adherence to a treatment plan. 3. Consider a dry run practice your treatment plan using vitamins, jelly beans, or mints. This will help you determine ahead of time which doses might be difficult. 4. After you and your doctor decide on a treatment plan, ask for a written copy. This should list each medication, when and how much to take, and if it must be taken with food or on an empty stomach. It also should include your doctor s name and phone number and the date of your next visit. 5. Most important, talk to your doctor about how to tailor your treatment plan to your lifestyle. For example, many patients find it helpful to identify things they normally do at the times they will be taking their medication. Studies have shown that patients who arrange their medication schedule around their daily routines adhere to their treatment plans better than those who do not. Activities that may be helpful in remembering your medication schedule include getting out of bed in the morning, taking a child to school, leaving work, or watching a TV show. If you decide take medicine as part of your regular activities, make sure you take it before the activity, not after. Your commitment to a treatment plan is critical. Talk to your doctor about any concerns you may have about starting and adhering to your treatment plan. For many people, it takes two or three office visits to feel comfortable about starting HIV treatment. 18

20 HIV and Its Treatment What You Should Know I ve started HIV treatment. What can I do to help my treatment work? As described previously, the effectiveness of your treatment will depend on several factors. One of the most important things you can do is find a strategy that works for you. This will help you adhere to your treatment plan as closely as possible. Here are some other ways to improve your adherence: 1. Use daily or weekly pill boxes or egg cartons to organize your medications. Some people find it helpful to count and set out a week s worth of medications at a time, with one space of the pill box or egg carton for each part of the day. Try to do this at the same time each week, for example, every Sunday night at bedtime. 2. Use timers, alarm clocks, or pagers to remind you when to take your medication. For each dose, try to take your medication at the same time each day. 3. Try keeping your medications where you will take them. Some patients find it helpful to keep their first morning dose next to the alarm clock or coffee pot. Others like to keep backup supplies of their medications at their workplace or in their briefcase. 4. Keep a medication diary. Try writing the names of your drugs on a 3 x 5 card or in your daily planner, and then check off each dose as you take it. You might want to try write yourself a reminder in your calendar or planner to take any doses that are difficult to remember. 5. Plan ahead for weekends, holidays, and changes in routine. Many studies have shown that weekends are a serious problem for adherence. Decide ahead of time how you will remember to take all of your doses. Also, if you are going on vacation, traveling on business, or changing jobs, write out a plan for remembering your medications. 19

21 HIV and Its Treatment What You Should Know 6. Develop a support network. This may include family members, friends, or coworkers who can remind you to take your medication. Some patients also find it helpful to join a support group for people living with HIV infection. 7. Don t run out of your medication. Contact your doctor or clinic if your supply will not last until your next visit. I m having problems taking my medication. What should I do? Tell your doctor if you are having any problems related to your medication, including those below: Side effects. If you are experiencing any side effects, tell your doctor what they are, and when you notice them. Skipped doses. Do not be afraid to admit to skipped doses. Your doctor knows that some people do have difficulty taking each dose as prescribed. If you have skipped doses, tell your doctor which medication(s) you skipped, and when. Difficulty taking your medication as directed. If you are supposed to take medications on an empty stomach, or with food, and this is difficult for you, tell your doctor. If there is a time of day that is difficult for you to take your dose, tell your doctor this. Your treatment plan interferes with your lifestyle. If you feel your treatment plan is too complicated or unrealistic for you to follow, talk to your doctor about other options you may have. It is important that you tell your doctor right away about any problems you are having with your treatment plan. Your doctor needs this information to help you get the most out of your treatment plan and provide workable options, if necessary. 20

22 Summary HIV and Its Treatment What You Should Know Managing HIV infection is complicated, but new treatments can both improve the quality of your life and extend your life. To help you successfully manage your health, remember these tips: See your doctor regularly (every 3-6 months or as advised) to check your CD4 + T cell count, viral load, and general health, and to discuss treatment and prevention strategies. Be an active part of your health care team. Tell your doctor about any problems, and be sure your doctor explains concepts to you in such a way that you clearly understand your options. Educate yourself. The more you know about HIV infection and HIV treatment, the better you will be able to judge the risks and benefits of your options. For more information on HIV infection and treatment, including pregnancy and HIV, call the HIV/AIDS Treatment Information Service at or connect to our web site at

23 HIV and Its Treatment What You Should Know HIV/AIDS Treatment Information Service P.O. Box 6303, Rockville, MD (Toll Free) (International) (TTY) ( ) (web site) A DHHS service managed by the National Library of Medicine (NLM) and sponsored by: Centers for Disease Control and Prevention (CDC) Centers for Medicare and Medicaid Services (CMS) Health Resources and Services Administration (HRSA) National Institutes of Health (NIH) 22

24 HIV and Its Treatment What You Should Know Notes 23

MM Thorell PhD University of the Sciences in Philadelphia, 600 South 43rd Street, Philadelphia, Pennsylvania, , USA.

MM Thorell PhD University of the Sciences in Philadelphia, 600 South 43rd Street, Philadelphia, Pennsylvania, , USA. Medical Journal of Therapeutics Africa 2007 Vol 1, No 2 Page 148 SUMMARY OF GUIDELINES FOR THE USE OF ANTIRETROVIRAL AGENTS IN HIV-INFECTED ADULTS AND ADOLESCENTS. MM Thorell PhD University of the Sciences

More information

Comprehensive Case Management Reassessment

Comprehensive Case Management Reassessment Comprehensive Case Management Reassessment Reassessment Date: Date of previous Assessment/Reassessment: Name: Client ID # Address: If Reassessment early or late explain: Current HIV Status: Asymptomatic

More information

Treatment for AIDS. What do ARVs do? There is a lot of confusion about these medicines which fight AIDS. Who do we believe?

Treatment for AIDS. What do ARVs do? There is a lot of confusion about these medicines which fight AIDS. Who do we believe? 1 Treat for AIDS There are now medicines which can treat AIDS. They are called antiretrovirals, or ARVs for short. ARVs do not cure HIV! But they can stop a person with HIV from dying of AIDS. ARVs only

More information

Presented by: Canadian Working Group on HIV and Rehabilitation

Presented by: Canadian Working Group on HIV and Rehabilitation Rehabilitation in the Context of HIV: An Interprofessional Course for Occupational Therapists, Physiotherapists, Speech-Language Pathologists and Audiologists Presented by: Canadian Working Group on HIV

More information

Southern African HIV Clinicians Society Clinical Guidelines Antiretroviral therapy in adults

Southern African HIV Clinicians Society Clinical Guidelines Antiretroviral therapy in adults Southern African HIV Clinicians Society Clinical Guidelines Antiretroviral therapy in adults Introduction The magnitude of HIV infection in Southern African and the number of impoverished people who desperately

More information

PATIENT INFORMATION HEPSERA

PATIENT INFORMATION HEPSERA FDA-Approved Patient Labeling PATIENT INFORMATION HEPSERA (hep-ser-rah) Generic Name: (adefovir dipivoxil) tablets Read this information carefully before you start taking HEPSERA. Read and check for new

More information

Adhering to Your. Treatment Regimen. www.patientedu.org/hiv

Adhering to Your. Treatment Regimen. www.patientedu.org/hiv Adhering to Your Treatment Regimen Healthy LivingWith HIV www.patientedu.org/hiv There have been many advances in HIV treatment over the past few decades. These have led to the emergence of effective drug

More information

HIV MEDICATIONS AT A GLANCE. Atripla 600/200/300 mg tablet 02300699 1 tablet daily. Complera 200/25/300 mg tablet 02374129 1 tablet daily

HIV MEDICATIONS AT A GLANCE. Atripla 600/200/300 mg tablet 02300699 1 tablet daily. Complera 200/25/300 mg tablet 02374129 1 tablet daily HIV MEDICATIONS AT A GLANCE Generic Name Trade Name Strength DIN Usual Dosage Single Tablet Regimen (STR) Products Efavirenz/ emtricitabine/ Emtricitabine/ rilpivirine/ elvitegravir/ cobicistat/ emtricitabine/

More information

Staying on Schedule. Tips for taking your HIV medicines

Staying on Schedule. Tips for taking your HIV medicines Staying on Schedule Tips for taking your HIV medicines 9 1 3 8 7 6 5 Taking HIV medicines is a big step in fighting your HIV. These medicines can reduce the amount of HIV in your blood to very low levels

More information

HIV TREATMENT ADHERENCE

HIV TREATMENT ADHERENCE Australian Federation of AIDS Organisations PO Box 51 Newtown NSW 2042 www.afao.org.au July 2009 Information on adherence and hints to help manage your HIV medications HIV TREATMENT ADHERENCE What is adherence?

More information

Service Learning. HIV/AIDS Prevention

Service Learning. HIV/AIDS Prevention Service Learning & HIV/AIDS Prevention Sponsored by: Anne Arundel County Department of Health 1 Harry S. Truman Parkway Annapolis, Maryland 21401 PHONE: 410-222-7108 FAX: 410-222-7231 Maryland Relay (TTY

More information

AIDS ACCESS FOUNDATION/ MSF AIDS can be Treated: A handbook of Antiretroviral medicines. AIDS Can Be Treated. A Hand Book of Antiretroviral medicines

AIDS ACCESS FOUNDATION/ MSF AIDS can be Treated: A handbook of Antiretroviral medicines. AIDS Can Be Treated. A Hand Book of Antiretroviral medicines AIDS Can Be Treated A Hand Book of Antiretroviral medicines The translation of this booklet is due to support from the Working Together Regional Training Project of the AIDS Access Foundation, Bangkok

More information

hiv and ChrONiC kidney disease WHAT YOU NEED TO KNOW

hiv and ChrONiC kidney disease WHAT YOU NEED TO KNOW hiv and ChrONiC kidney disease WHAT YOU NEED TO KNOW HIV AND CHRONIC KIDNEY DISEASE WHAT YOU NEED TO KNOW CONTENTS What Is HIV?... 2 If I Have HIV, Does It Mean I also Have AIDS?... 2 Why Do I Need to

More information

Is ISENTRESS right for you?

Is ISENTRESS right for you? Is ISENTRESS right for you? Models ISENTRESS.com Provided as an educational resource by Merck INDICATION ISENTRESS is a prescription HIV-1 medicine used with other antiretroviral medicines to treat human

More information

Living With HIV/AIDS.

Living With HIV/AIDS. Living With HIV/AIDS Healthy LivingWith HIV www.patientedu.org/hiv This booklet is for people who are infected with the human immunodeficiency virus (HIV) and for their friends and families. HIV is the

More information

In Tanzania, ARVs were introduced free-of-charge by the government in 2004 and, by July 2008, almost 170,000 people were receiving the drugs.

In Tanzania, ARVs were introduced free-of-charge by the government in 2004 and, by July 2008, almost 170,000 people were receiving the drugs. ANTIRETROVIRAL TREATMENT What is ART and ARV? ART is a short form for Antiretroviral Therapy (or Treatment). Antiretroviral therapy is a treatment consisting of a combination of drugs which work against

More information

5.1 Types of Medications

5.1 Types of Medications 5.1 Types of Medications Nucleoside, Nucleotide & Non-Nucleoside Reverse-Transcriptase Inhibitors (NRTI, NtRTI and NNRTI) HIV is a single stranded RNA virus. In order to make more copies of itself in a

More information

Theonest Ndyetabura KILIMANJARO CHRISTIAN MEDICAL CENTRE / KILIMANJARO CLINICAL RESERCH

Theonest Ndyetabura KILIMANJARO CHRISTIAN MEDICAL CENTRE / KILIMANJARO CLINICAL RESERCH TREATMENT FAILURE AND PATTERNS OF GENOTYPIC DRUG RESISTANCE MUTATIONS AMONG HAART EXPERIENCED HIV-1 PATIENTS AT KCMC Theonest Ndyetabura KILIMANJARO CHRISTIAN MEDICAL CENTRE / KILIMANJARO CLINICAL RESERCH

More information

Real. Women in North Carolina are being KEEPING IT

Real. Women in North Carolina are being KEEPING IT Keeping It Real KEEPING IT Real As women, we take care of our families. They are our pride and joy. In order to be there for them, we need to take care of ourselves first. Women in North Carolina are being

More information

You and your medicine: A factsheet for young people about taking HIV medication

You and your medicine: A factsheet for young people about taking HIV medication You and your medicine: A factsheet for young people about taking HIV medication Introduction The medicine used to treat HIV is called Highly Active Antiretroviral Therapy (HAART). HAART is usually a mixture

More information

FAQs HIV & AIDS. What is HIV? A virus that reduces the effectiveness of your immune system, meaning you are less protected against disease.

FAQs HIV & AIDS. What is HIV? A virus that reduces the effectiveness of your immune system, meaning you are less protected against disease. HIV & AIDS What is HIV? A virus that reduces the effectiveness of your immune system, meaning you are less protected against disease. What does HIV stand for? Human Immunodeficiency Virus Where did HIV

More information

Antiretroviral therapy for HIV infection in infants and children: Towards universal access

Antiretroviral therapy for HIV infection in infants and children: Towards universal access Antiretroviral therapy for HIV infection in infants and children: Towards universal access Executive summary of recommendations Preliminary version for program planning 2010 Executive summary Tremendous

More information

Chapter 21. What Are HIV and AIDS?

Chapter 21. What Are HIV and AIDS? Section 1 HIV and AIDS Today What Are HIV and AIDS? Human immunodeficiency virus (HIV) is the virus that primarily affects cells of the immune system and that causes AIDS. Acquired immune deficiency syndrome

More information

HIV and AIDS: Are You at Risk?

HIV and AIDS: Are You at Risk? For more information Information about HIV/AIDS: www.aids.gov www.cdc.gov/hiv Free referrals and information: CDC-INFO 1-800-CDC-INFO (232-4636) TTY: 1-888-232-6348 In English, en Espanol 24 Hours/Day

More information

HIV 1. A reference guide for prescription HIV-1 medications

HIV 1. A reference guide for prescription HIV-1 medications HIV 1 A reference guide for prescription HIV-1 medications Several different kinds of antiretroviral drugs are currently used to treat HIV-1 infection. These medicines are the ones most commonly used in

More information

The Northwest AETC Antiretroviral Medication Chart

The Northwest AETC Antiretroviral Medication Chart The Northwest AETC Antiretroviral Chart Videx x time a day Emtriva Zerit RNA Selzentry x tablet times a day or CYP3A x tablet times a day x tablets times a day Sustiva x times a day x tablet time a day

More information

Routine HIV Monitoring

Routine HIV Monitoring Routine HIV Monitoring Guideline of the HIV/AIDS Division at San Francisco General Hospital Statement of Guideline: Patients will be routinely evaluated and monitored for HIV parameters, antiretroviral

More information

Chapter 3 South African guidelines and introduction to clinical cases

Chapter 3 South African guidelines and introduction to clinical cases Chapter 3 South African guidelines and introduction to clinical cases 3.1. South African national antiretroviral guidelines When this book was published in 2012 the current national antiretroviral treatment

More information

The first week after my HIV diagnosis

The first week after my HIV diagnosis The first week after my HIV diagnosis HIV changes your life completely. However, there is no need to panic. Here are a few guidelines for the first week after your diagnosis. DAY 2: Go back to the clinic

More information

testing and treatment

testing and treatment H e p a t i t i s C Hepatitis C information resources American Liver Foundation 75 Maiden Lane, Suite 603 New York, NY 10038 (800) GO-LIVER (465-4837) (888) 4-HEP-ABC (443-7222) http://www.liverfoundation.org

More information

HIV in pregnancy: information for you. Contents. Page number

HIV in pregnancy: information for you. Contents. Page number HIV in pregnancy: information for you Published February 2005 by the RCOG Due to be reviewed in 2007 Contents Page number Key points 2 About this information 3 About HIV 4 What could it mean for my baby?

More information

Outpatient/Ambulatory Health Services

Outpatient/Ambulatory Health Services Outpatient/Ambulatory Health Services Service Definition Outpatient/ambulatory medical care includes the provision of professional diagnostic and therapeutic services rendered by a physician, physician

More information

Tuberculosis. What is tuberculosis?

Tuberculosis. What is tuberculosis? Tuberculosis What is tuberculosis? TB, or tuberculosis, is a disease caused by bacteria caused Mycobacterium tuberculosis. It is spread from person to person through the air. TB usually affects the lungs.

More information

What Are HIV & AIDS? Together, we can change the course of the HIV epidemic one woman at a time.

What Are HIV & AIDS? Together, we can change the course of the HIV epidemic one woman at a time. What Are HIV & AIDS? Together, we can change the course of the HIV epidemic one woman at a time. #onewomanatatime #thewellproject What Is HIV? HIV stands for: Human Immunodeficiency Virus HIV is the virus

More information

GENERAL INSTRUCTIONS FOR COMPLETING THE HIV TEST FORM

GENERAL INSTRUCTIONS FOR COMPLETING THE HIV TEST FORM GENERA INSTRUCTIONS FOR COMPETING THE This form is designed to be read by an Optical Character Recognition (OCR) scanner. The legibility of this form depends on the quality of the a hand written and selected

More information

IV. Counseling Cue Cards. ICAP International Center for AIDS Care and Treatment Mailman School of Public Health Columbia University

IV. Counseling Cue Cards. ICAP International Center for AIDS Care and Treatment Mailman School of Public Health Columbia University IV. Counseling Cue Cards ICAP International Center for AIDS Care and Treatment Mailman School of Public Health Columbia University How to Use These Counseling Cue Cards ABOUT THE CUE CARDS This set of

More information

Chapter 10 Human Immuno Deficiency Virus Infection

Chapter 10 Human Immuno Deficiency Virus Infection 143 Chapter 10 Human Immuno Deficiency Virus Infection Chapter 10 Human Immuno Deficiency Virus Infection...143 HIV infection...144 Clinical Features...146 Clinical Staging of HIV infection recommended

More information

Exposure. What Healthcare Personnel Need to Know

Exposure. What Healthcare Personnel Need to Know Information from the Centers for Disease Control and Prevention National Center for Infectious Diseases Divison of Healthcare Quality Promotion and Division of Viral Hepatitis For additional brochures

More information

Updated HIV Treatment Guidelines 2014

Updated HIV Treatment Guidelines 2014 NORTHWEST AIDS EDUCATION AND TRAINING CENTER Updated HIV Treatment Guidelines 2014 Brian R. Wood, MD Assistant Professor of Medicine, University of Washington Medical Director, NW AETC ECHO Last Updated:

More information

HIV & AIDS BASIC FACTS

HIV & AIDS BASIC FACTS HIV & AIDS BASIC FACTS There is no vaccine to prevent HIV. There is no cure for HIV but there is treatment. Anyone can be infected with HIV. What are HIV & AIDS? HIV is a virus that can make you sick.

More information

Antiretroviral Therapy

Antiretroviral Therapy Scott M. Hammer Antiretroviral Therapy I. Introduction The field of antiretroviral therapy has been explosive over the past 17 years as HIV targets have been identified, drugs developed and pathogenesis

More information

HIV TESTING: WHAT YOU NEED TO KNOW

HIV TESTING: WHAT YOU NEED TO KNOW HIV TESTING: WHAT YOU NEED TO KNOW A resource for women What is HIV? HIV (Human Immunodeficiency Virus) is a virus that weakens the immune system (your body s built-in defense system against disease that

More information

HIV Drug Resistance in the Asia- Pacific

HIV Drug Resistance in the Asia- Pacific HIV Drug Resistance in the Asia- Pacific David A Cooper National Centre in HIV Epidemiology and Clinical Research The University of New South Wales Sydney, Australia HIVDR in Asia Pacific Transmitted resistance

More information

Your right to know! FOR YOUNG PEOPLE HIV+ AIDS HIV & AIDS INFORMATION. What's the big deal about HIV and AIDS? Isn't AIDS an adult s problem?

Your right to know! FOR YOUNG PEOPLE HIV+ AIDS HIV & AIDS INFORMATION. What's the big deal about HIV and AIDS? Isn't AIDS an adult s problem? What's the big deal about HIV and AIDS? It's easy to think that HIV and AIDS is something for other people like drug users and sex workers to worry about. This is wrong. Everyone, from teens and young

More information

Zika Virus Frequently Asked Questions: Zika Virus and Pregnancy

Zika Virus Frequently Asked Questions: Zika Virus and Pregnancy Zika Virus Frequently Asked Questions: Zika Virus and Pregnancy Version 1.12: 25/7/2016 What is Zika? Zika is a viral infection that usually causes a mild illness that typically lasts between 2 and 7 days.

More information

Medication Guide TRUVADA (tru-vah-dah) (emtricitabine and tenofovir disoproxil fumarate) Tablets

Medication Guide TRUVADA (tru-vah-dah) (emtricitabine and tenofovir disoproxil fumarate) Tablets Medication Guide TRUVADA (tru-vah-dah) (emtricitabine and tenofovir disoproxil fumarate) Tablets Read this Medication Guide before you start taking TRUVADA and each time you get a refill. There may be

More information

Cares Community Health. PrEP. Pre-Exposure Prophylaxis. Gustavo Trejo Partner Services Coordinator Outreach Department

Cares Community Health. PrEP. Pre-Exposure Prophylaxis. Gustavo Trejo Partner Services Coordinator Outreach Department Cares Community Health PrEP Pre-Exposure Prophylaxis Gustavo Trejo Partner Services Coordinator Outreach Department Worldwide health crisis USA 1,200,000 people living with HIV 20% don t know. 50,000 New

More information

Key Components of HIV Medical Case Management:

Key Components of HIV Medical Case Management: Key Components of HIV Medical Case Management: Treatment Adherence Prevention with Positives Updated 11/28/12 1 Treatment Adherence Counseling Every goal on the care plan must relate to HIV treatment/care.

More information

NATAPNATIONAL. HIV 101: The Basics IN THIS ISSUE: What is the Goal of HIV Therapy? AIDS TREATMENT ADVOCACY PROJECT

NATAPNATIONAL. HIV 101: The Basics IN THIS ISSUE: What is the Goal of HIV Therapy? AIDS TREATMENT ADVOCACY PROJECT National AIDS Treatment Advocacy Project HIV 101: The Basics Written by: Jules Levin Production by: Jessie Gibson 580 BROADWAY, SUITE 1010, NEW YORK, NY, 10012 1-888-26-NATAP (212) 219-0106 fax (212) 219-8473

More information

Drug Treatment Program Update

Drug Treatment Program Update Drug Treatment Program Update As of May 211 Drug Treatment Program Update A key component of the Centre s mandate is to monitor the impact of HIV/AIDS on British Columbia. The Centre provides essential

More information

Chapter 36. Media Directory. Characteristics of Viruses. Primitive Structure of Viruses. Therapy for Viral Infections. Drugs for Viral Infections

Chapter 36. Media Directory. Characteristics of Viruses. Primitive Structure of Viruses. Therapy for Viral Infections. Drugs for Viral Infections Chapter 36 Media Directory Drugs for Viral Infections Slide 23 Slide 27 Slide 29 Zidovudine Animation Saquinavir Mesylate Animation Acyclovir Animation Upper Saddle River, New Jersey 07458 All rights reserved.

More information

Guidelines for the Use of Antiretroviral Agents in HIV-1-Infected Adults and Adolescents

Guidelines for the Use of Antiretroviral Agents in HIV-1-Infected Adults and Adolescents Guidelines f the Use of Antiretroviral Agents in HIV-1-Infected Adults and Adolescents Visit the AIDSinfo website to access the most up-to-date guideline. Register f e-mail notification of guideline updates

More information

Birth Control Pills Yearly healthy living exams Looking for more health information?

Birth Control Pills Yearly healthy living exams Looking for more health information? 2011 Birth Control Pills Birth Control Pills How do birth control pills work? Birth control pills usually contain 2 sex hormones, estrogen and progestin. The birth control pill prevents the release of

More information

MEDICATION GUIDE. VIRAMUNE (VIH-rah-mune) (nevirapine) tablets. (nevirapine) oral suspension

MEDICATION GUIDE. VIRAMUNE (VIH-rah-mune) (nevirapine) tablets. (nevirapine) oral suspension MEDICATION GUIDE VIRAMUNE (VIH-rah-mune) (nevirapine) tablets VIRAMUNE (VIH-rah-mune) (nevirapine) oral suspension VIRAMUNE XR (VIH-rah-mune) (nevirapine) extended-release tablets Read this Medication

More information

BASIC INFORMATION ABOUT HIV, HEPATITIS B and C, and TUBERCULOSIS Adapted from the CDC

BASIC INFORMATION ABOUT HIV, HEPATITIS B and C, and TUBERCULOSIS Adapted from the CDC BASIC INFORMATION ABOUT HIV, HEPATITIS B and C, and TUBERCULOSIS Adapted from the CDC HIV What are HIV and AIDS? HIV stands for Human Immunodeficiency Virus. This is the virus that causes AIDS. HIV is

More information

Core Competencies: HIV/AIDS: HIV Basics HIV/AIDS JEOPARDY* Overview. To change category names: Instructions. 2. Introduce session.

Core Competencies: HIV/AIDS: HIV Basics HIV/AIDS JEOPARDY* Overview. To change category names: Instructions. 2. Introduce session. Core Competencies: HIV/AIDS: HIV Basics HIV/AIDS JEOPARDY* ABOUT THIS ACTIVITY Time: 60 minutes Objectives: By the end of this session, participants will be able to: Reviewed their knowledge of HIV/AIDS

More information

WOMENCARE A Healthy Woman is a Powerful Woman (407) 898-1500. Birth Control Pills

WOMENCARE A Healthy Woman is a Powerful Woman (407) 898-1500. Birth Control Pills Birth Control Pills WOMENCARE A Healthy Woman is a Powerful Woman (407) 898-1500 Birth control pills (also called oral contraceptives or "the pill") are used by millions of women in the United States to

More information

Medication Guide TRUVADA (tru-vah-dah) (emtricitabine and tenofovir disoproxil fumarate) tablets Read this Medication Guide before you start taking

Medication Guide TRUVADA (tru-vah-dah) (emtricitabine and tenofovir disoproxil fumarate) tablets Read this Medication Guide before you start taking Medication Guide TRUVADA (tru-vah-dah) (emtricitabine and tenofovir disoproxil fumarate) tablets Read this Medication Guide before you start taking TRUVADA and each time you get a refill. There may be

More information

Combination Anti-Retroviral Therapy (CART) - Rationale and Recommendation. M Dinaker. Fig.1: Effect of CART on CD4 and viral load

Combination Anti-Retroviral Therapy (CART) - Rationale and Recommendation. M Dinaker. Fig.1: Effect of CART on CD4 and viral load Combination Anti-Retroviral Therapy (CART) - Rationale and Recommendation M Dinaker INTRODUCTION The wide availability of effective, safe and mostly well tolerated combined anti-retroviral therapy (CART)

More information

HIV AND AIDS for CNA's & HHA's

HIV AND AIDS for CNA's & HHA's HIV AND AIDS for CNA's & HHA's INTRODUCTION The human immunodeficiency virus (HIV) is a virus that is transmitted through sexual contact or contact with infected blood. Infection with HIV is one of the

More information

Addendum. Issue 1: Clarification of risk for infection if you get poked with a needle or cut with an instrument and the person has hepatitis B

Addendum. Issue 1: Clarification of risk for infection if you get poked with a needle or cut with an instrument and the person has hepatitis B Public Health and Primary Health Care Division Communicable Disease Control 4 th Floor, 300 Carlton St, Winnipeg, MB R3B 3M9 T 204 788-6737 F 204 948-2040 www.manitoba.ca July 4, 2012 Addendum Issue 1:

More information

MODULE 1 FLORIDA DEPARTMENT OF HEALTH STUDY GUIDE HIV/AIDS: 101 WEMAKETHECHANGE.COM

MODULE 1 FLORIDA DEPARTMENT OF HEALTH STUDY GUIDE HIV/AIDS: 101 WEMAKETHECHANGE.COM MODULE 1 FLORIDA DEPARTMENT OF HEALTH STUDY GUIDE HIV/AIDS: 101 WEMAKETHECHANGE.COM MODULE 1 HIV/AIDS 101 DVD CORE CONTENT SUMMARY WHAT IS HIV? HIV: Human Immunodeficiency Virus H Human - virus can only

More information

NON-OCCUPATIONAL POST EXPOSURE PROPHYLAXIS FOR SEXUAL ASSAULT SURVIVORS. Carl LeBuhn, MD

NON-OCCUPATIONAL POST EXPOSURE PROPHYLAXIS FOR SEXUAL ASSAULT SURVIVORS. Carl LeBuhn, MD NON-OCCUPATIONAL POST EXPOSURE PROPHYLAXIS FOR SEXUAL ASSAULT SURVIVORS Carl LeBuhn, MD Post-Exposure Prophylaxis (PEP) The use of therapeutic agents to prevent infection following exposure to a pathogen

More information

HIV and AIDS. AIDS & Disability Action Program

HIV and AIDS. AIDS & Disability Action Program The AIDS & Disability Action Program (ADAP) and the Wellness & Disability Initiative (WDI) are programs of BC Coalition of People with Disabilities. Contact us for health information on other topics. #204

More information

What is AIDS? Who gets AIDS? Common symptoms of HIV and AIDS. Treatment for HIV and AIDS. Pain management. What you can do to help

What is AIDS? Who gets AIDS? Common symptoms of HIV and AIDS. Treatment for HIV and AIDS. Pain management. What you can do to help What is AIDS? Who gets AIDS? Common symptoms of HIV and AIDS Treatment for HIV and AIDS Pain management What you can do to help Helpful AIDS resources A I D S ( A C Q U I R E D I M M U N O D E F I C I

More information

Blood Transfusion. There are three types of blood cells: Red blood cells. White blood cells. Platelets.

Blood Transfusion. There are three types of blood cells: Red blood cells. White blood cells. Platelets. Blood Transfusion Introduction Blood transfusions can save lives. Every second, someone in the world needs a blood transfusion. Blood transfusions can replace the blood lost from a serious injury or surgery.

More information

What is PrEP, or Pre-Exposure Prevention?

What is PrEP, or Pre-Exposure Prevention? What is PrEP, or Pre-Exposure Prevention? JULY 2011 What is PrEP? An HIV-negative person would use PrEP by taking certain HIV medicines daily (in either a pill or microbicide) to help him or her prevent

More information

DISCUSSION GUIDE 6. The difference between HIV and AIDS

DISCUSSION GUIDE 6. The difference between HIV and AIDS DISCUSSION GUIDE 6 DG6 Does a person with HIV have AIDS? 1. HIV is a virus. HIV AIDS 1. AIDS is a disease. Objective: To create an understanding of the difference. 54 2. HIV has no symptoms. 3. An HIV

More information

Sexually Transmitted Diseases

Sexually Transmitted Diseases Sexually Transmitted Diseases Chapter Fourteen 2013 McGraw-Hill Higher Education. All rights reserved. The Major Sexually Transmitted Diseases Also known as sexually transmitted infections The Major STDs

More information

Tuberculosis and You A Guide to Tuberculosis Treatment and Services

Tuberculosis and You A Guide to Tuberculosis Treatment and Services Tuberculosis and You A Guide to Tuberculosis Treatment and Services Tuberculosis (TB) is a serious disease that can damage the lungs or other parts of the body like the brain, kidneys or spine. There are

More information

CHAPTER 4 HIV COUNSELLING AND TESTING (HCT)

CHAPTER 4 HIV COUNSELLING AND TESTING (HCT) HIV COUNSELLING AND TESTING (HCT) Key points: 1. Everyone needs to know their HIV status. 2. Test regularly. 3. Get treatment early.. Stay negative. 5. Protect yourself. Protect others. CHAPTER CHAPTER

More information

Hepatitis C Basics For People Who Use Drugs With safer injection and Distributed by Harm Reduction Coalition

Hepatitis C Basics For People Who Use Drugs With safer injection and Distributed by Harm Reduction Coalition Hepatitis C Basics You can take steps to prevent getting hepatitis C. If you have hepatitis C, new treatments can cure it and keep your liver healthy. For People Who Use Drugs Injection drug use is the

More information

HCSP GUIDES A GUIDE TO: PREPARING FOR TREATMENT. A publication of the Hepatitis C Support Project

HCSP GUIDES A GUIDE TO: PREPARING FOR TREATMENT. A publication of the Hepatitis C Support Project HCSP GUIDES T R E AT M E N T I S S U E S A publication of the Hepatitis C Support Project The information in this guide is designed to help you understand and manage HCV and is not intended as medical

More information

The Basics of Drug Resistance:

The Basics of Drug Resistance: CONTACT: Lisa Rossi +1-412-641-8940 +1-412- 916-3315 (mobile) rossil@upmc.edu The Basics of Drug Resistance: QUESTIONS AND ANSWERS HIV Drug Resistance and ARV-Based Prevention 1. What is drug resistance?

More information

Frequently Asked Questions (FAQs)

Frequently Asked Questions (FAQs) Frequently Asked Questions (FAQs) Research Rationale 1. What does PrEP stand for? There is scientific evidence that antiretroviral (anti-hiv) medications may be able to play an important role in reducing

More information

How can herpes simplex spread to an infant?

How can herpes simplex spread to an infant? CHAPTER 3 HERPES AND PREGNANCY As an expectant parent eagerly awaiting the birth of your new baby, you are probably taking a number of steps to ensure your baby s health. One step many experts recommend

More information

FDA-Approved Patient Information

FDA-Approved Patient Information FDA-Approved Patient Information PATIENT INFORMATION Mirena (Mur-ā-nah) (levonorgestrel-releasing intrauterine system) Mirena does not protect against HIV infection (AIDS) and other sexually transmitted

More information

Gestational diabetes. Information to help you stay healthy during your pregnancy. What is gestational diabetes?

Gestational diabetes. Information to help you stay healthy during your pregnancy. What is gestational diabetes? Gestational diabetes Information to help you stay healthy during your pregnancy What is gestational diabetes? How gestational diabetes can affect my baby How to take care of myself and my baby during pregnancy

More information

PATIENT PACKAGE INSERT BRIEF SUMMARY. DESOGEN Tablets. (desogestrel and ethinyl estradiol tablets USP)

PATIENT PACKAGE INSERT BRIEF SUMMARY. DESOGEN Tablets. (desogestrel and ethinyl estradiol tablets USP) PATIENT PACKAGE INSERT BRIEF SUMMARY DESOGEN Tablets 28 Day Regimen (desogestrel and ethinyl estradiol tablets USP) This product (like all oral contraceptives) is intended to prevent pregnancy. It does

More information

Management of infants born to an HIV Positive Mother

Management of infants born to an HIV Positive Mother SOUTHERN WEST MIDLANDS NEWBORN NETWORK Hereford, Worcester, Birmingham, Sandwell & Solihull Title Management of infants born to an HIV Positive Mother Author Dr Steve Welch Date Guideline Agreed: May 2009

More information

July 3, 2015. III. VA policy:

July 3, 2015. III. VA policy: Antiretroviral Postexposure Prophylaxis After Sexual, Injection- Drug Use, or Other Nonoccupational Exposure to HIV (nonoccupational post- exposure prophylaxis [npep]) VA Greater Los Angeles Healthcare

More information

Contents What are side effects? Why do I need to know about side effects of HIV medications?

Contents What are side effects? Why do I need to know about side effects of HIV medications? Contents What are side effects?................................ 1 Why do I need to know about side effects of HIV medications?.................................. 2 What should I ask my doctor when he or

More information

Because it s important to know as much as you can.

Because it s important to know as much as you can. About DEPRESSION Because it s important to know as much as you can. This booklet is designed to help you understand depression and the things you can do every day to help manage it. Taking your medicine

More information

Learning about Hepatitis C and Chronic Kidney Disease

Learning about Hepatitis C and Chronic Kidney Disease Learning about Hepatitis C and Chronic Kidney Disease Hepatitis C and Chronic Kidney Disease If you have chronic kidney disease (CKD), you want to learn all you can about your disease and what you can

More information

1. Chart #1 Treatment Guidelines for Infants Born to HIV+ Mothers. 2. Chart #2 Presumptive Exclusion of HIV in Non-breastfed Babies

1. Chart #1 Treatment Guidelines for Infants Born to HIV+ Mothers. 2. Chart #2 Presumptive Exclusion of HIV in Non-breastfed Babies 1. Chart #1 Treatment Guidelines for Infants Born to HIV+ Mothers 2. Chart #2 Presumptive Exclusion of HIV in Non-breastfed Babies 3. Chart #3 Definitive Exclusion of HIV in Non-breastfed Babies 4. Chart

More information

Estimating the Impact of Medical Innovation: A Case Study of ARVs

Estimating the Impact of Medical Innovation: A Case Study of ARVs Estimating the Impact of Medical Innovation: A Case Study of ARVs Mark Duggan University of Maryland, MPRC, and NBER William Evans University of Notre Dame and NBER January 2008 JEL Classification: H51;

More information

Management of HIV and TB Co-infection in South Africa

Management of HIV and TB Co-infection in South Africa Management of HIV and TB Co-infection in South Africa Halima Dawood Department of Medicine Case Report 39 yr old female Referred to clinic on 14/06/2006 for consideration to commence antiretroviral therapy

More information

HIV and AIDS. betterhealth.vic.gov.au. Risk factors for HIV infection. Low or no risk of HIV infection. Summary

HIV and AIDS. betterhealth.vic.gov.au. Risk factors for HIV infection. Low or no risk of HIV infection. Summary HIV and AIDS Summary In Australia, HIV is most commonly spread by sexual intercourse without a condom. A much smaller percentage is spread through sharing needles, syringes and other injecting equipment.

More information

SomedayStartsNow.com. Life Planning Tool. Someday starts now. #1-460

SomedayStartsNow.com. Life Planning Tool. Someday starts now. #1-460 SomedayStartsw.com Life Planning Tool Someday starts now. #1-460 THE LIFE PLAN OF name date age MY HEALTH CARE PROVIDER name phone number My someday starts now. I m planning it today. Like most journeys,

More information

HIV/AIDS: General Information & Testing in the Emergency Department

HIV/AIDS: General Information & Testing in the Emergency Department What Is HIV? HIV/AIDS: General Information & Testing in the Emergency Department HIV is the common name for the Human Immunodeficiency Virus. HIV is a retrovirus. This means it can enter the body s own

More information

Antiretroviral Therapy Guidelines

Antiretroviral Therapy Guidelines NORTHWEST AIDS EDUCATION AND TRAINING CENTER Antiretroviral Therapy Guidelines Christian B. Ramers, MD, MPH Medical Director, NW AETC ECHO Assistant Professor of Medicine & Global Health, University of

More information

The State Hospital HIV / AIDS

The State Hospital HIV / AIDS The State Hospital HIV / AIDS The red ribbon is the international symbol of HIV & AIDS awareness. What is HIV? HIV stands for Human Immunodeficiency Virus: H is for Human - This virus infects human beings.

More information

Helpful HIV Medication Tables for Pharmacists

Helpful HIV Medication Tables for Pharmacists 861837_Pharmguide.qxd 2/5/14 12:55 PM Page 1 Helpful HIV Medication Tables for Pharmacists New York/New Jersey AIDS Education & Training Center (AETC) www.nynjaetc.org Winter 2014 861837_Pharmguide.qxd

More information

TREATMENT FOR HIV/AIDS: a Guide

TREATMENT FOR HIV/AIDS: a Guide TREATMENT FOR HIV/AIDS: a Guide A publication of the AIDS Law Unit, Legal Assistance Centre INTRODUCTION Although there is currently no cure for HIV/AIDS, treatment has been developed which can stop the

More information

GENERAL INFORMATION. Hepatitis B Foundation - Korean Chapter Pg. 3 www.hepb.org

GENERAL INFORMATION. Hepatitis B Foundation - Korean Chapter Pg. 3 www.hepb.org GENERAL INFORMATION What is hepatitis B? Hepatitis B is the world's most common liver infection that can lead to cirrhosis and liver cancer. It is caused by the hepatitis B virus (HBV), which attacks and

More information

TB and HIV Counseling Flipchart

TB and HIV Counseling Flipchart and HIV Counseling Flipchart THE REPUBLIC OF UGANDA MINISTRY OF HEALTH Designed for the Ministry of Health with technical assistance from Health Communication Partnership (HCP) and funding from the United

More information

A Guide to HIV Drug Resistance

A Guide to HIV Drug Resistance A SPECIAL REPORT FROM THEBODY.COM A Guide to HIV Drug Resistance Why Is Understanding Drug Resistance Important? 1 How HIV Works 1 HIV Mutations 2 HIV Treatment 3 How Drug Resistance Occurs 5 How Does

More information

The Hepatitis B virus (HBV)

The Hepatitis B virus (HBV) The Hepatitis B virus (HBV) There are 400 million people in the world who live with chronic hepatitis B, including France. Most people don t even know they are infected. But there are several important

More information

Quick Guide. For Clinicians. Based on TIP 37 Substance Abuse Treatment For Persons With HIV/AIDS

Quick Guide. For Clinicians. Based on TIP 37 Substance Abuse Treatment For Persons With HIV/AIDS Quick Guide For Clinicians Based on TIP 37 Substance Abuse Treatment For Persons With HIV/AIDS Contents Why a Quick Guide?................ 2 What Is a TIP?.................... 3 Introduction......................

More information

Living With HIV A guide to your long-term health

Living With HIV A guide to your long-term health FOCUS Living With HIV A guide to your long-term health Supplement to POZ magazine Living With HIV By Liz Highleyman The fact that HIV-positive people can live long, healthy lives comes as a surprise to

More information